FAMILY AND COSMETIC GENTLE DENTISTRY (NPI# 1023414174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023414174 |
| Entity Type | Organization |
| Organization Name | FAMILY AND COSMETIC GENTLE DENTISTRY |
| Practice Address |
7500 42nd Ave N New Hope MN 55427-1225 |
| Mailing Address |
4100 Shoreline Dr #4 Spring Park MN 55384-4508 |
| Practice Telephone | 7635330055 |
| Mailing Telephone | 9522249783 |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |
| Authorized Official Name | ROBERT LUTHER BODIN (CEO/OWNER) |
| Authorized Official Telephone | 9522249783 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760837041 | Family and Cosmetic Gentle Dentistry | Dentist | 5107 Gus Young Ln, Edina, MN 55436-1530 | 2016-04-25 |
| 1164803177 | Family and Cosmetic Gentle Dentistry | Dentist | 1421 Wayzata Blvd, Suite 320, Wayzata, MN 55391-1939 | 2015-06-16 |
| Street Address |
7500 42ND AVE N |
| City | NEW HOPE |
| State | MN |
| Zip Code | 55427-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427617752 | Alba Bilani | Dentist | 7500 42nd Ave N, New Hope, MN 55427-1225 | 2019-06-11 |
| 1376107284 | Carl Reitz | Dentist | 7500 42nd Ave N, New Hope, MN 55427-1225 | 2019-04-25 |
| 1366950354 | Thomas Arthur Mans | Dental Therapist | 7500 42nd Ave N, New Hope, MN 55427-1225 | 2018-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952888414 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 2765 Virginia Avenue N., New Hope, MN 55427 | 2018-07-26 |
| 1386168573 | Tanya Eiffler | Nurse Practitioner | 1415 Lilac Drive N, Golden Valley, MN 55427 | 2017-07-28 |
| 1861856890 | Minnesota Recovery Center L.L.C. | Community/Behavioral Health | 8500 42nd Ave N Suite 100, New Hope, MN 55427 | 2016-04-06 |
| 1790150191 | Constant Care Corporation | Home Health | 1701 Douglas Drive N (change), Suite 224m (change), Golden Valley (change), MN 55427 | 2015-12-10 |
| 1578939344 | Hy Vee Inc | Pharmacy | 8200 42nd Avenue North, New Hope, MN 55427 | 2015-08-17 |
| 1215346416 | Mary Erickson | Physical Therapist | 7505 Country Club Dive, Golden Valley, MN 55427 | 2014-08-13 |
| 1437567682 | Kyle Ryan Sell | Physical Therapist | 8301 Golden Valley Rd #202, Golden Valley, MN 55427 | 2014-07-31 |
| 1710304985 | Healing Hands Home Care LLC | Home Health | 220 Jersey Ave North, Golden Valley, MN 55427 | 2014-03-25 |
| 1871873224 | Amelia Grace Willey | Massage Therapist | 699 Winnetka Avenue North, 202, Golden Valley, MN 55427 | 2011-08-17 |
| 1730402223 | Jennifer Symanietz | Occupational Therapist | 7505 Country Club Drive, Golden Valley, MN 55427 | 2010-03-11 |
| Find all providers in zip 55427 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060014 | Comfort Dental Family and Cosmetic Dentistry LLC | Clinic/Center | 9413 36th Ave N, New Hope, MN 55427-1717 | 2020-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710025 | Theresa M. Snell | Clinic/Center | 580 5th Ave Nw Ste 100, New Brighton, MN 55112-2836 | 2020-11-05 |
| 1376143248 | James M. Williams, D.d.s., P.a. | Clinic/Center | 620 Union St S, Mora, MN 55051-1818 | 2020-10-29 |
| 1235746058 | Asp Dental, PC | Clinic/Center | 17705 Hutchins Dr Ste 201, Minnetonka, MN 55345-4103 | 2020-09-25 |
| 1952918781 | Asp Dental, PC | Clinic/Center | 9800 Shelard Pkwy Ste 130, Plymouth, MN 55441-6451 | 2020-09-25 |
| 1518574532 | Stillwater Family Dental | Clinic/Center | 13481 60th St N Ste 100, Oak Park Heights, MN 55082-1089 | 2020-09-24 |
| 1093321531 | Barnett Dental Inc | Clinic/Center | 7962 Sunwood Dr Nw Ste 200, Ramsey, MN 55303-5172 | 2020-09-21 |
| 1356955868 | Todd A Brewer Dds Pllc | Clinic/Center | 603 Jefferson Ave Sw, Watertown, MN 55388 | 2020-09-02 |
| 1770195158 | Mark T. Sherman Dds Pa | Clinic/Center | 31011 Rasmussen Rd, Pequot Lakes, MN 56472-1227 | 2020-08-18 |
| 1689286015 | Lifelong Dental Care | Clinic/Center | 1525 Livingston Ave Ste B, West St Paul, MN 55118-3430 | 2020-08-18 |
| 1528678497 | Custom Smiles Dentistry, Pllc | Clinic/Center | 2258 Bunker Lake Blvd Nw, Andover, MN 55304-3900 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.